Analysis of axillary recurrence after breast reconstruction
Okishiro, M.; Egawa, C.; Ishida, T.; Sato, Y.; Morimoto, Y.; Kusama, H.; Matsushita, K.; Hashimoto, T.; Kimura, K.; Katsura, Y.; Nitta, K.; Kagawa, Y.; Takeno, A.; Sakisaka, H.; Nakahira, S.; Taniguchi, K.; Takeda, Y.; Kato, T.; Tamura, S.; Takatsuka, Y.; Asada, Y.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 41(12): 1918-1920
2014
ISSN/ISBN: 0385-0684 PMID: 25731375 Document Number: 678389
In recent years, breast reconstruction is being increasingly performed. Axillary resection is the standard treatment for axillary recurrence after a negative sentinel node (SN) biopsy. Appropriate treatment in the event of a negative SN artifact poses a problem. Case 1: A3 9-year-old woman with right breast cancer underwent Bt+SN (negative)+TE, IMP. Approximately 8 years postoperatively, axillary lymph node recurrence was diagnosed. Axillary resection was performed, and the reconstructed breast was preserved. Case 2: A4 0-year-old woman with right breast cancer underwent Bt+SN (negative)+TE, IMP. Approximately 8 years postoperatively, axillary lymph node recurrence was diagnosed. Axillary resection was performed, and the reconstructed breast was preserved. Case 3: A5 7-year-old woman with right breast cancer underwent Bt+SN (negative)+ TE, IMP. Because the metastatic lymph node was near the reconstructed breast, axillary resection and removal of the reconstructed breast was performed. It is expected that the incidence of axillary lymph node recurrence after breast reconstruction will increase in the future. For axillary lymph node recurrence, surgical resection needs to be performed to achieve a complete recovery. Therefore, it may be necessary to perform surgery without preserving the reconstructed breast.